CV Template
Hospital Privileging CV Template
The Hospital Privileging CV template is specifically designed for physicians requesting or expanding clinical privileges at a hospital. This format emphasizes your training, experience, and demonstrated competency in specific procedures, services, or patient populations. It's organized around the privileging process, with clear documentation of where you learned procedures, how many you've performed, and your supervision or proctoring experience. Whether you're requesting surgical privileges, procedural privileges, or specialized service privileges, this template helps you build a compelling case for your requested privileges.
Who it’s for
- Physicians requesting new clinical privileges
- Surgeons documenting operative competency
- Proceduralists seeking procedure-specific privileges
- Physicians expanding their scope of practice
Key features
- Focus on procedures and services for which you're requesting privileges
- Detailed training documentation for each privilege category
- Procedure logs with volumes and outcomes when available
- Space for proctoring and supervision documentation
- Format for demonstrating ongoing competency
- Clear linkage between training and requested privileges
Core sections included
Personal Information
Contact details and basic credentials
Education & Training
Medical school, residency, fellowship
Use cases
New Procedure Privileges
Requesting privileges for procedures not previously performed at the facility.
Example: A general surgeon requesting robotic surgery privileges after completing training.
Expanded Surgical Privileges
Adding more complex procedures to existing surgical privileges.
Example: An orthopedic surgeon adding total joint replacement privileges.
Specialized Service Privileges
Requesting privileges to provide specialized medical services.
Example: A cardiologist requesting privileges to direct the cardiac catheterization lab.
Frequently asked questions
What's the difference between credentialing and privileging?
Credentialing verifies your qualifications and credentials, while privileging determines which specific procedures and services you're authorized to perform. This CV focuses on the privileging aspect.
How many cases do I need to request privileges?
Requirements vary by hospital and procedure. Generally, hospitals want to see residency/fellowship training plus ongoing experience. Check your hospital's privileging criteria for specific numbers.
What if I learned a procedure recently?
Document your training comprehensively, including CME courses, hands-on training, proctoring, and supervised cases. Hospitals may require a proctoring period for new privileges.
Can I request privileges I haven't used recently?
Hospitals require evidence of current competency. If you haven't performed a procedure recently, you may need simulation training, proctoring, or skills assessment before privileges are granted.
What happens if my privilege request is denied?
You have the right to understand the reason and may be able to appeal. Often, denial is due to insufficient documentation of training or experience, which can be addressed.